Many families don’t realize a problem is starting until they see a change in the resident’s skin—often after an overnight stay, a weekend, or a period when routines shift. In smaller Utah communities and surrounding areas, families may also rely on weekday visits and be less present during evenings.
Common early signs families report include:
- Redness or discoloration over the tailbone, heels, hips, or shoulder blades
- Skin that looks “angry,” shiny, or irritated after transfers
- New drainage, odor, or complaints of discomfort (even when the resident has limited communication)
- A sudden decline in mobility or participation in care after a period of increased immobility
Pressure ulcers can worsen quickly when prevention—like turning/repositioning, moisture control, and appropriate support surfaces—doesn’t keep up with the resident’s risk level.


